HomeMy WebLinkAboutDrain Layers Permit 142 Palmer Drive n
TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL
South Windsor, Connecticut
List.No.: -S-@9 _
DRAIN. LAYER'S PERMIT
O 685
'18 t`IMalmber , 19 74
Pursuant to written applicatior, permission is hereby granted to the Licensed Drain Layer named herein to perform
the wo-k ilidicated below at ri w Wi" on the
side, between ft"Wis" I ,V0
at premises owned by » Qa NOW
whose address is V
and to 1 Lay House Drain, Repair House Drain, Lay-Main, Other ,
for occupancy or use,
with Off! 0) Family Units, with acres.
Type of Sewage.to be connected under this permit:
SANITARY SEWAGE (%), INDUSTRIAL WASTES ( ), OR ( )
Connection will be nude with4*401* I&MU2 PiPS tO 8 24 A S s at sk
`of.
Permit to be issued to IA X* 'Wimigodd
the holder of Drain Layer's License No. . `Permit will expire on
The undersigned Drain Layer hereby agrees 'to all the terms and conditions 'set forth on the permit and the reverse side
thereof. Applicant has received Town Permit No. and/or C H D Permit No.
for street excavation. -
SPECIAL :CONDITIONS
Signed
Connection Charge Paid " "' Licensed Drain, ay r
fte 60 Issued by vu s Oro
Tax Collector
Permit Nee:. Paid $
INSPECTION• Check Number:
INITIAL /+' " ?i► -." -- (Sig)
, ,_,.r.
FINAL /� ���' II+ . ,..,,.�;�.,,,�,,.. (Sig)
APPROVED Oe?40 490 / ?#', (Date)
IF
a� '. fi (Sig)
INSPECTbR
N
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J
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NOTES SOUTH WINDSOR POLLUTION CONTROL
LOCATION I /0A1-M,se b o lve L ar ¢s
OWNER y.92e---5 -
TYPE OF WORK
DATE os-16-74 PERMIT ,35 PIPES
INSTALLER Uf - z
INSPECTOR DRAWN BY �---